Organization
SANGER PEDIATRICS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMERSON B WALLS D.O. (PRESIDENT)
(559) 876-1402
Entity
Organization
Contact information
Practice address
2640 JENSEN AVE, SANGER, CA 93657-9777
(559) 876-1402
(559) 876-9461
Mailing address
2640 JENSEN AVE, SANGER, CA 93657-9777
(559) 876-1402
(559) 876-9461
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20A5923
CA
Other
Enumeration date
11/07/2006
Last updated
11/12/2010
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